Relationship between Stress Hyperglycemia and Catheter-related Urinary Tract Infection in Stroke Patients.
10.3881/j.issn.1000-503X.12916
- Author:
Zhao Yun XIE
1
;
Hua BAI
2
;
Fei Fei DENG
2
Author Information
1. Department of Infection Management,The Third Affiliated Hospital of Guizhou Medical University,Duyun,Guizhou 558000,China.
2. Department of Neurology,The Third Affiliated Hospital of Guizhou Medical University,Duyun,Guizhou 558000,China.
- Publication Type:Journal Article
- Keywords:
catheter-related urinary tract infection;
stress hyperglycemia;
stroke
- MeSH:
Catheter-Related Infections/epidemiology*;
Cross Infection/epidemiology*;
Humans;
Hyperglycemia/complications*;
Stroke/complications*;
Urinary Catheterization;
Urinary Tract Infections/epidemiology*
- From:
Acta Academiae Medicinae Sinicae
2021;43(2):188-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective To verify the relationship between catheter-related urinary tract infection(CAUTI)and stress hyperglycemia during catheter retention in stroke patients. Methods We used nosocomial infection monitoring system to track the status of CAUTI in stroke patients in a hospital.The study cohort was all the patients who received retention catheterization from January 2016 to March 2020.According to the nested case-control design,multivariate logistic regression analysis was performed to explore the relationship between stress hyperglycemia and CAUTI in stroke patients with indwelling catheter. Results A total of 322 cases of CAUTI and 644 cases of non-CAUTI were enrolled in this study.The length of stay in the case group was(20.68 ± 3.73)d,significantly longer than that[(13.00 ± 4.01)d]in the control group(t=29.473,P <0.001).Compared with non-stress hyperglycemia,stress hyperglycemia posed a higher risk of CAUTI in the stroke patients with indwelling catheter(OR=2.020,95% CI=1.447-2.821,P=0.000)and led to the higher incidence of CAUTI in one thousand days(P<0.001). Conclusion Stress hyperglycemia in the stroke patients with indwelling catheter can significantly increase the risk of CAUTI.
